Events

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First name:

*

Last name:

*

Address Line 1:

*

Address Line 2 (opt):

Address Line 3 (opt):

City/town:

*

County:

Post code:

*

Telephone number (day):

*

Email:

*

Re-type email:

*

Date of birth:

*

Gender:

*

Expected time for distance (opt):

Are you a member of an affilliated club?

*

Affiliated club:

*

UKA Affiliated Registration Number:

(if known)

Team name (opt):

'Do you have any medical conditions or are you allergic to any drugs?'

*

Any additional comments or information you wish to pass on to the race organiser: